Lafayette Rehabilitation & Skilled Nursing

Name: Lafayette Rehabilitation & Skilled Nursing
Address: 25 LAFAYETTE STREET, Marblehead, MA, 01945, US
Telephone: 7816314535

25 Lafayette Street, Marblehead, MA 01945 · Essex County · 65 certified beds · avg 48 residents/day · certified since Jul 1, 1990

Part of chain: LME FAMILY HOLDINGS (15 facilities, chain avg rating 2.1★)

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.49

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (9)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Aug 28, 2024	E · Potential for harm, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Aug 28, 2024	E · Potential for harm, repeated	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Aug 28, 2024	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Aug 28, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Aug 9, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Aug 9, 2023	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Aug 9, 2023	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Aug 9, 2023	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Aug 9, 2023	B · Minimal risk, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.

Inspection trend by year

Year	Citations	Serious (G–L)	Worst severity that year
2023	5	0	D
2024	4	0	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Massachusetts avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.49	3.89	3.95	top 17% in Massachusetts; top 23% in the U.S.
Registered Nurse hours	0.74	0.65	0.69	top 25% in Massachusetts; top 33% in the U.S.
Weekend total nurse staffing	4.42	3.51	3.50	top 10% in Massachusetts; top 13% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.23	0.46	0.48	bottom 14% in Massachusetts; bottom 18% in the U.S.
Total nursing staff turnover (%)	53.1	38.2	45.8	bottom 12% in Massachusetts; bottom 29% in the U.S.
RN turnover (%)	63.6	42.6	42.9	bottom 15% in Massachusetts; bottom 17% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.84, RN 0.63, weekend 3.78. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 3/5 · short-stay residents: 2/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Hirsch, Nisson	Individual	5% or Greater Direct Ownership Interest	8%	09/01/2022
Hirsch, Shmuel	Individual	5% or Greater Direct Ownership Interest	29%	09/01/2022
Probst, Sarah	Individual	5% or Greater Direct Ownership Interest	15%	09/01/2022
Probst, Seth	Individual	5% or Greater Direct Ownership Interest	15%	09/01/2022
Barbuzzi, George	Individual	Contracted Managing Employee	NOT APPLICABLE	09/01/2022
Hirsch, Nisson	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2022
Hirsch, Shmuel	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2022
Lahasky, Ephram	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2022
Lme Family Holdings LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	09/01/2022
Probst, Sarah	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2022
Probst, Seth	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2022

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"How many hours a day is a registered nurse physically in the building, including weekends?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Devereux Skilled Nursing & Rehabilitation Center	0.1 mi	Marblehead, MA	★★★★☆	4/5
Salem Rehab Center	1.6 mi	Salem, MA	★★★☆☆	3/5
Abbott Skilled Nursing & Rehabilitation Center	3.0 mi	Lynn, MA	★★★★☆	4/5
Life Care Center of the North Shore	3.3 mi	Lynn, MA	★★★★★	4/5
New England Homes for the Deaf, INC	4.2 mi	Danvers, MA	★★★★☆	3/5
Pilgrim Rehabilitation & Skilled Nursing Center	4.8 mi	Peabody, MA	★★★★☆	4/5
Care One at Essex Park	5.1 mi	Beverly, MA	★★★★☆	4/5
Jeffrey & Susan Brudnick Center for Living	5.1 mi	Peabody, MA	★★★★★	4/5
Ledgewood Rehabilitation and Nursing Center	5.2 mi	Beverly, MA	★★★★☆	4/5
Blueberry Hill Rehabilitation and Healthcare Ctr	5.2 mi	Beverly, MA	★☆☆☆☆	1/5
Jesmond Skilled Nursing & Rehabilitation Center	5.2 mi	Nahant, MA	★★★☆☆	3/5
Brentwood Rehabilitation and Healthcare Ctr (the)	5.4 mi	Danvers, MA	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Marblehead →

Facility data as of CMS processing date 2026-08-01. CCN 225411.

The Care File

Visit checklist — Lafayette Rehabilitation & Skilled Nursing

25 Lafayette Street, Marblehead, MA 01945 · 7816314535

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "How many hours a day is a registered nurse physically in the building, including weekends?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 225411 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)